Dr John Cormack, South Woodham Ferrers, Chelmsford.
Dr John Cormack in South Woodham Ferrers, Chelmsford is a Doctors/GP specialising in the provision of services relating to diagnostic and screening procedures, family planning services, maternity and midwifery services, services for everyone, surgical procedures and treatment of disease, disorder or injury. The last inspection date here was 26th September 2017
Dr John Cormack is managed by Dr John Cormack who are also responsible for 1 other location
Contact Details:
Address:
Dr John Cormack Greenwood Surgery Tylers Ride South Woodham Ferrers Chelmsford CM3 5XD United Kingdom
Letter from the Chief Inspector of General Practice
We first carried out a comprehensive inspection at Dr John Cormack on 10 November 2016. The overall rating for the practice was requires improvement. The practice was inadequate for providing safe services, requires improvement for providing effective and well-led services and good for providing caring and responsive services. As a result, the practice was issued with requirement notices for improvement.
The full report for the November 2016 inspection can be found by selecting the ‘all reports’ link for Dr John Cormack on our website at www.cqc.org.uk.
At our 23 August 2017 comprehensive inspection we found the practice had addressed all concerns highlighted from the previous inspection and improvements had been made. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
There were appropriate systems and support for staff to identify, report, investigate and learn from significant incidents.
The practice have improved their system in place to action patient safety and medicine alerts.
The practice had implemented a system to ensure that they effectively managed and acted on safeguarding issues affecting children and vulnerable adults.
Staff carried out safe administration of medicines in line with national guidance.
Recruitment checks undertaken for all staff were in line with guidance.
Staff received appropriate supervision and training to carry out their roles. For example all clinical staff had completed Mental Capacity Act training.
The practice had improved their infection control procedures.
The practice had a supply of emergency medicines for use in relation to the services provided.
The practice showed little improvement from the November 2016 inspection where they were required to improve on their quality improvement processes. We reviewed three clinical audits the practice had conducted and found they did not demonstate where improvements could be made.
Complaints were dealt with appropriately however lessons learnt were not documented at the time of the complaint.
The practice held regular clinical, administrative and reception meetings. The practice had reviewed and updated their policies and procedures. Staff were aware of policies when we asked them.
The clinical team had access to NICE guidance and the nursing team were working within their Mid Essex formulary, shared care protocols and competency levels.
The practice had consistently strong clinical performance in their QOF performance in 2015/2016. They achieved 97% with exception rates that were comparable to local and national averages.
There was evidence of appraisals and personal development plans for all staff.
Data from the national GP patient survey published in July 2017 showed patients rated the practice in line with or higher than others for all aspects of care.
Patients consistently told us they received a personalised service where they were treated with compassion, dignity and respect and they were involved in decisions about their care and treatment.
The practice was active and worked well with their Clinical Commissioning Group.
The practice had an active and supportive Patient Participation Group. They represented the practice and patients within the wider health forums to improve services.
Actions the provider should take to improve:
Improve the recording of the learning from the analysis of complaints and cascade them to all relevant staff.
Improve the clinical audit process by identifying where improvements to services could be made and record and review the action taken.
Letter from the Chief Inspector of General Practice
We first carried out a comprehensive inspection at Dr John Cormack on 10 November 2016. The overall rating for the practice was requires improvement. The practice was inadequate for providing safe services, requires improvement for providing effective and well-led services and good for providing caring and responsive services. As a result, the practice was issued with requirement notices for improvement.
The full report for the November 2016 inspection can be found by selecting the ‘all reports’ link for Dr John Cormack on our website at www.cqc.org.uk.
At our 23 August 2017 comprehensive inspection we found the practice had addressed all concerns highlighted from the previous inspection and improvements had been made. Overall the practice is rated as good.
Our key findings across all the areas we inspected were as follows:
There were appropriate systems and support for staff to identify, report, investigate and learn from significant incidents.
The practice have improved their system in place to action patient safety and medicine alerts.
The practice had implemented a system to ensure that they effectively managed and acted on safeguarding issues affecting children and vulnerable adults.
Staff carried out safe administration of medicines in line with national guidance.
Recruitment checks undertaken for all staff were in line with guidance.
Staff received appropriate supervision and training to carry out their roles. For example all clinical staff had completed Mental Capacity Act training.
The practice had improved their infection control procedures.
The practice had a supply of emergency medicines for use in relation to the services provided.
The practice showed little improvement from the November 2016 inspection where they were required to improve on their quality improvement processes. We reviewed three clinical audits the practice had conducted and found they did not demonstate where improvements could be made.
Complaints were dealt with appropriately however lessons learnt were not documented at the time of the complaint.
The practice held regular clinical, administrative and reception meetings. The practice had reviewed and updated their policies and procedures. Staff were aware of policies when we asked them.
The clinical team had access to NICE guidance and the nursing team were working within their Mid Essex formulary, shared care protocols and competency levels.
The practice had consistently strong clinical performance in their QOF performance in 2015/2016. They achieved 97% with exception rates that were comparable to local and national averages.
There was evidence of appraisals and personal development plans for all staff.
Data from the national GP patient survey published in July 2017 showed patients rated the practice in line with or higher than others for all aspects of care.
Patients consistently told us they received a personalised service where they were treated with compassion, dignity and respect and they were involved in decisions about their care and treatment.
The practice was active and worked well with their Clinical Commissioning Group.
The practice had an active and supportive Patient Participation Group. They represented the practice and patients within the wider health forums to improve services.
Actions the provider should take to improve:
Improve the recording of the learning from the analysis of complaints and cascade them to all relevant staff.
Improve the clinical audit process by identifying where improvements to services could be made and record and review the action taken.
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